Individual
KYLE KARNISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
123 E WASHINGTON ST, TECUMSEH, OK 74873-3241
(405) 598-6558
Mailing address
123 E WASHINGTON ST, TECUMSEH, OK 74873-3241
(405) 598-6558
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2700
OK
Other
Enumeration date
07/27/2011
Last updated
09/19/2013
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